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BWFE2015-0257- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -i � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C29 f License No.: 704270 Date:--�1®r) Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and Professions Code) or that he or she is exempt therefrom and the? basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:. (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or. her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( I I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's Address: WORKER'S COMPENSATION DECLARATION . I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and polity number are: Carrier: Policy Number: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. •Date: Applicant: WARNING: FAILURE TO SECURE WORKERSCOMP SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST.OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application., the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. . I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this cityto eft iPon the above• mentioned property for inspection purposes. ZZ �,� Date: Signature (Applicant or Agent) y 4 � VOICE (760) 777-7125 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY FAX (760) 777-7011 DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/10/2015 Application Number: BWFE2015-0257 Owner: Property Address: 44090 TIARA PL PL GUY CHABOT APN: 604141008 44090 TIARA PL Application Description: CHABOT RESIDENCE BLOCK WALL ANGELUS STANDARD LA QUINTA, CA 92253 Property Zoning: Application Valuation: $15,000.00 Applicant: HENRY'S MASONRY INC D '�01 O Contractor: HENRY'S P O BOX 5185 p,UG p MASONRY INC P O BOX 5185 LA QUINTA, CA 92248 cmc Lp�M� ` "T X 0 2 LA QUINTA, CA 92248 p,�G C,pF�MUN1T10p�A SM�� (760)775-6807 OFA` pEp� Llc. No.: 704270 �.c�t1PME� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -i � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C29 f License No.: 704270 Date:--�1®r) Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and Professions Code) or that he or she is exempt therefrom and the? basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:. (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or. her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( I I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Lender's Address: WORKER'S COMPENSATION DECLARATION . I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and polity number are: Carrier: Policy Number: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. •Date: Applicant: WARNING: FAILURE TO SECURE WORKERSCOMP SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST.OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application., the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. . I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this cityto eft iPon the above• mentioned property for inspection purposes. ZZ �,� Date: Signature (Applicant or Agent) FINANCIAL INFORMATION a .. ' a; 'a DESCRIPTION ` `,�' ACCOUNT s ;QTY «E .a 'p PAID Y PAID DATES Fa'^ —AMOUNT, BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 cr{PAID BY s �`+�. METHODS r� �'c i' s ?,RECEIFT # x CHECK # 1 CLTD BY4. s Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00"' $0.00 iQTY AMOUNTS ki PAID� ,DESCRIPTION,+Ms�'A000UNTfF` t ¢PAID±DATE` WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 .$29.00 $0.00 'd PAID BY a�' x METHOD' ', '' zE RECEIPT ## t , s''CHECK # !4CLTD Z. BY �, �< <4',W _ „��s ;DESCRIPTION,,r` A000UNTc �, d + QTY; :AMOUNT; ' N r;Y PAID ,PAID DATE r WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86. $0.00 t�tPAID BY r �. s�," METHOD „; r'P RECEIPTCHECK # " CLTD BY r ' DESCRIPTION t ACCOUNT: ` Q TY� AMOUNTF g -s PAID r k PAID DATE "�' .Yo ":,, ff,e_ :-' -- c -._: — ....a r s's' ., Y i� f`a . ., i' .'s. x ryd a + -Y. �' e➢2" WALL/FENCE - FIRST 100 LF PC 101-000042600 0 $60.91 • $0.00 PAID BY:„N? METHOD�� #;� `"+� * #j� `ICLTD BY ,- k , ,RECEIPT , Ay�CHECK ¢ Total Paid for FENCE OR FREESTANDING WALL $137.77 ' ' \ $0.00 TOTALS:• 00 t Description: CHABOT RESIDENCE BLOCK WALL ANGELUS STANDARD Type: WALL/FENCE Subtype: Status: UNDER REVIEW Applied:'8/10/2015 PJU Approved: Parcel No: 604141008 Site Address: 44090 TIARA PL PL LA QUINTA,CA 92253 Subdivision: TR 23269 Block: Lot: 8 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $15,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CHRONOLOGY Details: 192 LN FTX 6 FT HT BLOCK WALL PER ANGELUS STANDARDS AND APPROVED PLANS.SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. Printed: Monday, August 10, 2015 9:21:20 AM 1 of 2 ONW.'YSTEMS ADOITIMAL CHRONOLOGY • • NAME TYPE: °., NAME ADDRESSI CITY -, STATE ZIP , PHONE FAX: EMAIL APPLICANT' HENRY'S MASONRY INC P 0 BOX 5185 LA QUINTA CA 92248 (760)902-3305 CONTRACTOR HENRY'S MASONRY INC P 0 BOX 5185 LA QUINTA CA 92248 (760)902-3305 OWNER GUY CHABOT .44090 TIARA PL LA QUINTA CA 92253 (760)902-3305 FiNAWAL Q RIVIATION DESCRIPTION,,.ACCOUNT ` PAID DATE CLTD a METHOD 'PAID .QTY AMOUNT .PAID ';RECEIPT,# CHECK # .• BY .<. :- xP.,G- :gY BSAS 561473 FEE ' 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Monday, August 10, 2015 9:21:20 AM 1 of 2 ONW.'YSTEMS �x DESCRIPTION ry ACCOUNT QTY e : AMOUNT-'' : • PAID .. ' PAID RECEIPT # CHECK # METHOD;' ' PAID BY CLTD a WALL/FENCE - EA 101-0000-42404 0 $29.00 $0.00 ADDITIONAL 50 LF WALL/FENCE - FIRST �0 101-0000-42404 $47.86 $0.00 100 LF WALL /FENCE - FIRST 101-0000-42600 0 $60.91 $0.00 100 LF PC Total Paid for FENCE OR FREESTANDING WALL $137.77 $0.00 TOTALS:$0.00 PARENT PROJECTS RETURNEDx r STATUS. REMARKS REVIEW TYPE'; REVIEWER SENT DATE DUE DATE DATE ' NOTES - _ .. Printed: Monday, August 10, 2015 9:21:20 AM 2 of 2 SYSTEMS Bin #, City of La Quinta Building &r Safety Division P.O. Box 1504, 78 495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: �yQ 9Q ��% �� e Owner's Name: G v CLA il- 0 t . A. P. Number: Address: Legal Description: City, ST, Zip: Contractor:1Telephone:»`< � �y � (��fQp(, '� � 33 d Address: Qb 1Jt-C1 6 (5;: W& e Project Description: City, ST, Zip: /il'rA U rGJ S t `�/' 4saS i X % rcle w Telephone:--66,P1!2) le hone: a a dS 3 w�e State Lic. # : U % U City Lic. Arch., Engr., Designe . Address: City., ST, Zip: Telephone: Con tr . e•. uction Type: Occupancy: P State to Lic. #• Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2 Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees